Kralund Henrik, Paulsen Evy
Dermato-venereologisk Afdeling, Odense Universitetshospital, 5000 Odense C, Denmark.
Ugeskr Laeger. 2011 Jun 20;173(25):1805-6.
An otherwise healthy seven year-old girl was admitted to a dermatological department with a severe and progressive scalp infection that had been treated unsuccessfully with conventional antibiotics for over 14 days as well as with surgery. Examination revealed severe tinea capitis with clinical presentation of kerion Celsi, which ultimately resolved with oral antifungals over eight weeks, leaving the patient with a sizeable patch with cicatrical alopecia. The importance of early diagnosis is discussed as are various treatment modalities.
一名原本健康的7岁女孩因严重且进行性的头皮感染被收入皮肤科。该感染用传统抗生素治疗超过14天以及手术治疗均未成功。检查发现为严重头癣,临床表现为凯尔西脓癣,最终通过口服抗真菌药物治疗8周后痊愈,但患者留下了一块相当大的瘢痕性脱发区。文中讨论了早期诊断的重要性以及各种治疗方式。